Jean Inman Domain 2 Practice
Questions and Answers Rated A+
a 1500 calorie diabetic diet with 45% of the calories from CHOs is prescribed. 1/3 of
CHO grams is met with 1/2 cup OJ, 1 cup milk and:
a. 1 slice toast
b. 2 slices toast
c. 2 slices toast and 1/2 c oatmeal
d. 1/2 slice toast - ANSWER-2 slices toast
1500 kcal x .45 = 675 calories ÷ 1/3 = 225 kcals ÷ 4 g/kcal CHO = 56.25 g CHO
1/2 cup juice = 15 g CHO
8 oz milk = 12 g CHO
2 slices toast = 30 g CHO
Total CHO grams = about 57 g CHO
a 2 year old child with iron deficiency anemia has anorexia, vomiting, weight loss and
restlessness? look for: - ANSWER-pica and lead poisoning
a 35 yo female with T1DM received nutrition counseling and started NPH therapy one
month ago. Today her fasting blood glc levelis 290mg/dl and chol leve is 185mg/dl. she
eats one meal per day. which need to you address first? - ANSWER-instruction about
the relationship of diet to blood glucose level
a 60 KG female receives 2700 kcals on PN. The calorie to nitrogen ratio is 150:1. How
many grams of nitrogen is she getting?
a. 14
b. 16
c. 18
d. 20 - ANSWER-18
in this question, the pt weight is irrelevant
2700 kcals ÷ 150 nitrogen/kcal = 18 grams N
a 7 yo on a ketogenic diet requires 1500 kcals. what is appropriate? - ANSWER-145g
fat, 25g pro, 25 g CHO
A 75 yo female with adequate income would benefit from: - ANSWER-Congregate
Meals
,a 9 month old infant being fed iron-fortified, milk-based formula is obese. you should
recommend: - ANSWER-monitoring weight and intake
a baby is treated with an UV light for hyperbilirubinemia. you should prescribe a diet that
is: - ANSWER-high fluid
a Billroth II procedure is most likely to affect a pt's absorption of: - ANSWER-calcium
and Fe
a cancer pt receiving radiation therapy to the head and neck presents with weight loss.
the nutrition dx would be: - ANSWER-swallowing difficulty
a child has been identified as being at risk for food allergies. what should be withheld for
the first few years? - ANSWER-peanut butter and milk
A child has been measured several times before the age of 2 yrs. Results of the
measurements were not accurate because the child was measured: - ANSWER-
standing up
a child has chronic non-specific diarrhea whithout malabsorption. an increased intake of
which of the following might be the cause? - ANSWER-sorbitol
a child is below the 5th %ile weight for ht. what can be said about the child? -
ANSWER-indication for recent under-nutrition
a child is lethargic, irritable with diarrhea. the cause may be:
A. zinc toxicity
B. lead poisoning
C. iron overload
D. vit A toxicity - ANSWER-B. lead poisoning*
a child presents at the 65th %ile height for age. what does this signify? - ANSWER-
normal
a child with AIDS needs a high calorie and ____ intake. - ANSWER-high protein
a child with CF has had a recent weight loss and several large foul smelling stools
eachday over the past two months. to evalusate the situation. the first step should be to
assess her: - ANSWER-compliance with PERT (Pancreatic enzyme replacement
therapy)
,a child with PKU can eat: - ANSWER-carrots and celerey sticks
a cholesterol level of 240mgs needs treatment first with - ANSWER-diet
a client who primarily consumes frozen dinners and breakfast cereal because of limited
access to transportation most likely would have a nutrition dx of: - ANSWER-impaired
ability to prepare meals
a client who takes orlistat may need to: - ANSWER-take a m/v supplement
a clinical RD has successfully met an indicator for 6 months. the next step would be to: -
ANSWER-evaluate the need to continue moinotring the indicator
a common result of treating an AIDS pt with zidovdine is? - ANSWER-macrocytic
anemia
a concern with parenteral feeding is - ANSWER-hypokalemia
a Crohn's pt who has previously well-nourished has a fever an ileus 7 days PO. which
feeding method should you recommend? - ANSWER-periphereal IV infusion
a diabetic wants to exhange his bedtime snack of 8 oz whole milk. What do you
suggest? - ANSWER-1 oz cheese and 1/2 c OJ
a dietary deficiency of which of the following causes a macrocytic anemia resembling
pernicious anemia? - ANSWER-folacin
a family receiving food stamps often runs out of food by the middle of the month. obtain
an emergency food voucher for them and refer them to: - ANSWER-EFNEP
a father needs help in feeding his children, ages 6 & 8. which are the best options? -
ANSWER-food stamps and school lunch
a fecal excretion of ____ grams of fat/24 hours is consider fat malabsorption.
a. less than 1
b. more than 7
c. 3-5
d. 2-4 - ANSWER-more than 7
a female has a 36" waist and a 40" hip. She is at risk for - ANSWER-heart disease
a female who eats a wide variety of foods and takes supplemental iron and birth control
pills may be: - ANSWER-marginally deficient in folic acid
a female, 5'7" tall, 115#s. Six months ago she was 130#s. What is her % IBW?
, A. 85%
B. 83%
C. 81%
D. 87% - ANSWER-A. 85%*
85%; IBW = 100 + 7(5) = 135# ------> 115# CBW ÷ 135# IBW = 85%
a five month old baby has changed from the 65th to the 95th %ile weight for height. the
RD should first: - ANSWER-check to see if weights have been plotted properly
a hispanic woman needs more calcium in her diet. what do you recommend? -
ANSWER-pinto beans
a homeless patient who is deficient in all nutrients is to be dishcarged. what
organization may help? - ANSWER-the social workers group
a hospitalized pt who had not eaten well for 2 weeks had a 2.3 serum phosphorus level
and a 1.3 serum magnesium level. he has - ANSWER-hypophosphatemia,
hypomagnesemia
a long term care patient has normal intestinal function but cannot eat. what tube feeding
should you provide? - ANSWER-isotonic lactose-free formula
a man with a peptic ulcer should consume: - ANSWER-a balanced diet he can tolerate
a man with HIV presents - ANSWER-wt (see questions)
a middle income female needs support for breast feeding. which group will help? -
ANSWER-la leche league
a morbidly obese pt in ICU on a ventilator has end-stage renal disease, DM and sacral
decubiti (ulcer). the primary concern for recommending a tube feeding formula and rate
should be? - ANSWER-adequate calories
a mother with 2 daughters, ages 8 and 11, doesn't earn enough money to feed her
familly. Which program would you suggest? - ANSWER-Food Stamps
a nephrotic syndrome pt with edema has a serum albumin level that continues to fall.
recognize that: - ANSWER-protein is being lost in the urine
a new pt with a BMI of 32 and HTN comes to you for counseling. what is your first
recommendation? - ANSWER-reduce sodium
Questions and Answers Rated A+
a 1500 calorie diabetic diet with 45% of the calories from CHOs is prescribed. 1/3 of
CHO grams is met with 1/2 cup OJ, 1 cup milk and:
a. 1 slice toast
b. 2 slices toast
c. 2 slices toast and 1/2 c oatmeal
d. 1/2 slice toast - ANSWER-2 slices toast
1500 kcal x .45 = 675 calories ÷ 1/3 = 225 kcals ÷ 4 g/kcal CHO = 56.25 g CHO
1/2 cup juice = 15 g CHO
8 oz milk = 12 g CHO
2 slices toast = 30 g CHO
Total CHO grams = about 57 g CHO
a 2 year old child with iron deficiency anemia has anorexia, vomiting, weight loss and
restlessness? look for: - ANSWER-pica and lead poisoning
a 35 yo female with T1DM received nutrition counseling and started NPH therapy one
month ago. Today her fasting blood glc levelis 290mg/dl and chol leve is 185mg/dl. she
eats one meal per day. which need to you address first? - ANSWER-instruction about
the relationship of diet to blood glucose level
a 60 KG female receives 2700 kcals on PN. The calorie to nitrogen ratio is 150:1. How
many grams of nitrogen is she getting?
a. 14
b. 16
c. 18
d. 20 - ANSWER-18
in this question, the pt weight is irrelevant
2700 kcals ÷ 150 nitrogen/kcal = 18 grams N
a 7 yo on a ketogenic diet requires 1500 kcals. what is appropriate? - ANSWER-145g
fat, 25g pro, 25 g CHO
A 75 yo female with adequate income would benefit from: - ANSWER-Congregate
Meals
,a 9 month old infant being fed iron-fortified, milk-based formula is obese. you should
recommend: - ANSWER-monitoring weight and intake
a baby is treated with an UV light for hyperbilirubinemia. you should prescribe a diet that
is: - ANSWER-high fluid
a Billroth II procedure is most likely to affect a pt's absorption of: - ANSWER-calcium
and Fe
a cancer pt receiving radiation therapy to the head and neck presents with weight loss.
the nutrition dx would be: - ANSWER-swallowing difficulty
a child has been identified as being at risk for food allergies. what should be withheld for
the first few years? - ANSWER-peanut butter and milk
A child has been measured several times before the age of 2 yrs. Results of the
measurements were not accurate because the child was measured: - ANSWER-
standing up
a child has chronic non-specific diarrhea whithout malabsorption. an increased intake of
which of the following might be the cause? - ANSWER-sorbitol
a child is below the 5th %ile weight for ht. what can be said about the child? -
ANSWER-indication for recent under-nutrition
a child is lethargic, irritable with diarrhea. the cause may be:
A. zinc toxicity
B. lead poisoning
C. iron overload
D. vit A toxicity - ANSWER-B. lead poisoning*
a child presents at the 65th %ile height for age. what does this signify? - ANSWER-
normal
a child with AIDS needs a high calorie and ____ intake. - ANSWER-high protein
a child with CF has had a recent weight loss and several large foul smelling stools
eachday over the past two months. to evalusate the situation. the first step should be to
assess her: - ANSWER-compliance with PERT (Pancreatic enzyme replacement
therapy)
,a child with PKU can eat: - ANSWER-carrots and celerey sticks
a cholesterol level of 240mgs needs treatment first with - ANSWER-diet
a client who primarily consumes frozen dinners and breakfast cereal because of limited
access to transportation most likely would have a nutrition dx of: - ANSWER-impaired
ability to prepare meals
a client who takes orlistat may need to: - ANSWER-take a m/v supplement
a clinical RD has successfully met an indicator for 6 months. the next step would be to: -
ANSWER-evaluate the need to continue moinotring the indicator
a common result of treating an AIDS pt with zidovdine is? - ANSWER-macrocytic
anemia
a concern with parenteral feeding is - ANSWER-hypokalemia
a Crohn's pt who has previously well-nourished has a fever an ileus 7 days PO. which
feeding method should you recommend? - ANSWER-periphereal IV infusion
a diabetic wants to exhange his bedtime snack of 8 oz whole milk. What do you
suggest? - ANSWER-1 oz cheese and 1/2 c OJ
a dietary deficiency of which of the following causes a macrocytic anemia resembling
pernicious anemia? - ANSWER-folacin
a family receiving food stamps often runs out of food by the middle of the month. obtain
an emergency food voucher for them and refer them to: - ANSWER-EFNEP
a father needs help in feeding his children, ages 6 & 8. which are the best options? -
ANSWER-food stamps and school lunch
a fecal excretion of ____ grams of fat/24 hours is consider fat malabsorption.
a. less than 1
b. more than 7
c. 3-5
d. 2-4 - ANSWER-more than 7
a female has a 36" waist and a 40" hip. She is at risk for - ANSWER-heart disease
a female who eats a wide variety of foods and takes supplemental iron and birth control
pills may be: - ANSWER-marginally deficient in folic acid
a female, 5'7" tall, 115#s. Six months ago she was 130#s. What is her % IBW?
, A. 85%
B. 83%
C. 81%
D. 87% - ANSWER-A. 85%*
85%; IBW = 100 + 7(5) = 135# ------> 115# CBW ÷ 135# IBW = 85%
a five month old baby has changed from the 65th to the 95th %ile weight for height. the
RD should first: - ANSWER-check to see if weights have been plotted properly
a hispanic woman needs more calcium in her diet. what do you recommend? -
ANSWER-pinto beans
a homeless patient who is deficient in all nutrients is to be dishcarged. what
organization may help? - ANSWER-the social workers group
a hospitalized pt who had not eaten well for 2 weeks had a 2.3 serum phosphorus level
and a 1.3 serum magnesium level. he has - ANSWER-hypophosphatemia,
hypomagnesemia
a long term care patient has normal intestinal function but cannot eat. what tube feeding
should you provide? - ANSWER-isotonic lactose-free formula
a man with a peptic ulcer should consume: - ANSWER-a balanced diet he can tolerate
a man with HIV presents - ANSWER-wt (see questions)
a middle income female needs support for breast feeding. which group will help? -
ANSWER-la leche league
a morbidly obese pt in ICU on a ventilator has end-stage renal disease, DM and sacral
decubiti (ulcer). the primary concern for recommending a tube feeding formula and rate
should be? - ANSWER-adequate calories
a mother with 2 daughters, ages 8 and 11, doesn't earn enough money to feed her
familly. Which program would you suggest? - ANSWER-Food Stamps
a nephrotic syndrome pt with edema has a serum albumin level that continues to fall.
recognize that: - ANSWER-protein is being lost in the urine
a new pt with a BMI of 32 and HTN comes to you for counseling. what is your first
recommendation? - ANSWER-reduce sodium
